Katy Perry has her cleavage “Toned Down.”

Katy Perry recently had a music video pulled from a  Sesame Street performance following an outcry from several parenting groups.  More recently, she has requested that her cleavage be digitally Un-enhanced for a video shoot for VH1.  Ads for the network’s Divas Salute the Troops special were altered last week to make the “California Gurls” singer’s breasts noticeably smaller. Perry’s actions come as a reaction to growing sentiment in the United States that “less is more” when it comes to breast size and plastic surgery.

In my practice I have seen a growing trend in younger women recently toward a more natural appearance to their breast size. Gone are the days of the giant breast implants. Patients who present for breast augmentation are trending toward requesting smaller implant sizes that allow them to appropriately “fill-out” their lingerie without being extremely obvious. This trend has also translated over to women who are naturally over-enhanced by “mother nature.” Breast reduction has always been an extremely effective operation for “down-sizing” breasts that are way too big and that cause women back pain, grooving from bra straps, and  frequent rashes under their breasts. In fact, I have also seen a resurgence of women who were “over-augmented” many years ago coming in to have their implants simply removed, and their breasts lifted to a more natural and youthful position.

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